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345 SEMINOLE RD - RIGHT OF WAY -4,*;:, ' , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ;", ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 2•J331 9� RIGHT OF WAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-ROW-3539 Job Type: RIGHT-OF-WAY PERMIT Description: replace 234 feet of damaged underground CATV along Seminole Road between Seapray & Palm Avenues Estimated Value: Issue Date: 4/25/2017 Expiration Date: 10/22/2017 PROPERTY ADDRESS: Address: 345 SEMINOLE RD RE Number: 170434-0010 PROPERTY OWNER: Name: JOHNSON, DAN V Address: 345 SEMINOLE RD GENERAL CONTRACTOR INFORMATION: Name: TrueNet Communications ,TBA Address: 7666 Blanding BLVD Phone: - - PERMIT INFORMATION: PUBLIC WORKS: UTILITY DEPT.: All runoff must remain on-site during construction. Full right-of-way restoration, including sod, is required. Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. Any damage to sidewalk and/or roadway must be repaired by Contractor. Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed,call 247-5834. See attached Utility Map. FEES: Total Payments: $0.00 PERMIT IS APPROVED ONLY' IN ACCORDANCE WI TII ALL CFI Y OF ATI.AN I I(' BEACH ORDINANCES AM) THE FLORIDA BUILDING CODES. 0:.:apt;yr, City of Atlantic Beach APPLICATION NUMBER r 01.-4100).:>, Building Department ; 77.c "'+�' fes' (To be assigned by the Building Department.) 800 Seminole Road ,,' c, Atlantic Beach, Florida 32233-5445 A� 2017 n ��� Phone(904)247-5826 • Fax(904)247-5 1D 3 I ;711117... EE-mail: building-dept@coab.us Date routed: III City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: SQw`nk.1\0\.1-_ bk- 9k (\ Department review required Yes No _ sekspi ay d- pct /�UR,n�2S Building Applicant: 77(LA - 12- )3.1--kCpm mank(C M) Planning &Zoning Tree Administrator Project: U.A.al,t. & M' vbackm tti C A-N ublic Utilities Public Safety Fire Services Review fee $ Dept Signature . Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. / ❑Denied. l.� Y.-1y '�/ (Circle one.) Comments: 41ftei j C,o j ,pi e BUILDING ti PLANNING &ZONING Reviewed b.:_ /%%� Date: Wir- TREE ADMIN. Second Review: A roved as revised. ❑ pp [Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 „s'-�`, City of Atlantic Beach APPLICATION NUMBER �? Building Department (To be assigned by the Building Department.) t 4 .ts 800 Seminole Road • •- : Atlantic Beach, Florida 32233-5445 E t E 11- v_Ol� ” 3S, o, ,. Phone(904)247-5826 • Fax(904)247-5 I ..r/ 6• ' E-mail: building-dept@coab.us APR 14 2017 j Date routed: O21 3 l I a n City web-site: http://www.coab.us kJ APPLICATION REVIEV ANETTRACKING FORM Property Address: SL 4\6\1-- two, bP.fi9L 6 Department review required Yes No _ Su(spray d- PctNork Avk-,nwL5 Building Applicant: "LA-12- )3Lt 04)fn IMA-RiCC.404) Planning &Zoning Tree Administrator Project: cLok.cLU &3'- 4 d t_IY). 4C k u 1l, clic Wo c�j C Pct\ 0blic UtiIT iti j Public Safety Fire Services __ .p , Review fee$ De t Sig � �'nature � i,.,��s,; l Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING �/ Reviewed by: r)4-'1----' Uate: T b Y t7 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. P :WORKS Comments: PUBL I ILI Eb PUBLIC SAFET Y Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 ,,: . 1. CITY OF ATLANTIC BEACH q ) CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 0;1;y. Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date 3-15.2017 PERMIT# ISSUED BY THE CITY Job Address 345 SEMINOLE RD Perm itee: COMCAST(VIA TRUENET COMMUNICATIONS) Telephone# 904-777-9052 EXT 258 Permittee Address: 7666 BLANDING BLVD JACKSONVILLE.FL 32244 Requesting Permission to Construct: REPLACE 234'OF DAMAGED U/G CATV PLANT ALONG SEMINOLE RD APR 1 3 2017 Location: (Reference to Cross-Street) SEASPRAY AVE 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. "` " JA r�ttt?r gf_Np1ification was mailed to the following Utilities/Municipalities: p Jacksonville Eleb�ri-ic Authority. � Yes(� No ([7) Date: 311�t7 Bell South Telephone Company Yes([) No (� Date: 3/15/2017 MAR 2l rr`��¢as i' Yes (ED No (❑) Date: X1 017 Comcast y am' , Yes (ED No (p) Date: N/A 2. Whenever necesary for the construction, repair, improvement, maintenance, safe and efficient operation, �- alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of JAMES GRAHAM (Contractor's Project Superintendent) located at L&R CONSTRUCTION!2615 DAWIN RD JACKSONVILLE.FL 32207 Telephone#: -525-6696 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 70 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER /Signed: Date: �/(3// r/� •f Before me this 3 i day of . .in the ouns of Duval, State Of Florida,ha ersonally appeared -a,�&_ !4 A• "„'•� JENNIFER JOHNSTON Notary Public at La •e,State of Florida,County:S,Duval. (tr. �= MYCOMMISSION arGG02984My commission expires: o; EXPIRES:October27.2020 Personally Known: >/ or •;4yo. 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